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目的探讨婴儿晚发型维生素K缺乏症致颅内血肿微创术预后的相关因素。方法总结2007年1月至2012年3月山东省菏泽市立医院30例重症出血患儿在综合治疗基础上加用微创手术治疗婴儿晚发型维生素K缺乏致颅内血肿临床资料。结果 30例均治愈,随访3个月至5年,其中24例给予综合性干预措施神经精神发育均接近或达到同龄正常儿水平,3例智力发育落后,2例偏瘫,1例癫痫。结论婴儿晚发型维生素K缺乏症致颅内血肿微创术预后与出血量、出血部位、手术时机的选择相关。
Objective To investigate the prognostic factors of minimally invasive intracranial hematoma in infants with late-onset vitamin K deficiency. Methods From January 2007 to March 2012, 30 patients with severe hemorrhage in Heze Municipal Hospital of Shandong Province were treated with minimally invasive surgery combined with minimally invasive surgery on infants with late-onset vitamin K deficiency-induced intracranial hematoma. Results All the 30 cases were cured and were followed up for 3 months to 5 years. Among them, 24 cases were given comprehensive interventions and their neuropsychological development were close to or reached the normal level of the same age. Three cases had poor intelligence development, two cases of hemiplegia and one case of epilepsy. Conclusion The prognosis of minimally invasive intracranial hematoma caused by infantile late-onset vitamin K deficiency is related to the choice of bleeding volume, bleeding site and timing of operation.